scholarly journals Including married adolescents in adolescent reproductive health and HIV/AIDS policy

2004 ◽  
Author(s):  
Judith Bruce ◽  
Shelley Clark

The majority of sexually active girls aged 15–19 in developing countries are married, and married adolescent girls tend to have higher rates of HIV infection than their sexually active, unmarried peers. Married adolescent girls represent a sizable fraction of adolescents at risk and experience some of the highest rates of HIV prevalence of any group. Nonetheless, married adolescents have been marginal in adolescent HIV/AIDS policies and programs and have not been the central subjects for programs aimed at adult married women. This paper offers a partial explanation for why married adolescents have so often been overlooked, the reasons why marriage might bring elevated risk of HIV, initial analytic tools to assist policymakers in determining how to accord appropriate levels of priority to the marriage process, five brief case studies, and a menu of potential policy interventions and actions to make married adolescents an integral part of reproductive health and HIV-prevention initiatives.

2004 ◽  
Author(s):  
Judith Bruce ◽  
Shelley Clark

This brief is based on a background paper prepared for the WHO/UNFPA/Population Council Technical Consultation on Married Adolescents, held in Geneva, Switzerland, December 9–12, 2003. The final paper is entitled “Including married adolescents in adolescent reproductive health and HIV/AIDS policy.” The consultation brought together experts from the United Nations, donors, and nongovernmental agencies to consider the evidence regarding married adolescent girls’ reproductive health, vulnerability to HIV infection, social and economic disadvantage, and rights. The relationships to major policy initiatives—including safe motherhood, HIV, adolescent sexual and reproductive health, and reproductive rights—were explored, and emerging findings from the still relatively rare programs that are directed at this population were discussed. Married adolescent girls are outside the conventionally defined research interests, policy diagnosis, and basic interventions that have underpinned adolescent reproductive health programming and many HIV/AIDS prevention activities. They are an isolated, often numerically large, and extremely vulnerable segment of the population, largely untouched by current intervention strategies. As stated in this brief, promoting later marriage, to at least age 18, and shoring up protection options within marriage may be essential means of stemming the epidemic.


2020 ◽  
pp. 32-44
Author(s):  
Trang Dao Nguyen Dieu ◽  
Huy Nguyen Vu Quoc ◽  
Thanh Cao Ngoc ◽  
Ngoc Phan Thi Bich

Objectives: To describe the knowledge, attitudes, practices of reproductive health care among adolescent girls in A Luoi district, Thua Thien Hue province and to identify the related factors to reproductive health care in adolescent girls. To assess the results of intervention solutions of reproductive health care in adolescent girls. Methods: A cross-sectional study design. A study design for community intervention comparision with control group. Results: The percentage of adolescents with not good knowledge, attitudes and practices on reproductive health care has accounted for fairly high as respectively: 85.9%, 73.9%, 72.9%. There is an a relationship between education level, adolescent stage with general knowledge on adolescent reproductive health care (p < 0.05). There is a relationship between ethnicity, education level, adolescent stage with the general attitude on adolescent reproductive health care (p < 0.05). There is a relationship between knowledge, attitude, education level, adolescent stage, economic condition, the condition of the family living at the percentage of general practice on adolescent reproductive health care (p < 0.05). The effective of intervention: Good knowlegde increase from 10% to 24.1%. Good attitude increase from 16.7% to 61.4%. Good practice increase from 27.1% to 42.9%. The effective of intervention: change knowlegde: 21.6%, change attitude: 54.2%, change practice: 34.6%. Conclusion: There is need to enhance the communication and education reproductive health for aldolescent girls and to enhance communication knowlegde and skills for reproductive health staff. Keywords: adolescents, get married early, reproductive health.


1970 ◽  
Vol 6 (2) ◽  
pp. 9-12
Author(s):  
B Zaman ◽  
RM Shampa ◽  
MA Rahman

Introduction: Adolescent is an important segment of life while a child undergoes biological transformation.Objective: The study was conducted to assess the level of knowledge of mothers about reproductive health needs of their adolescent girls. Methods: This descriptive cross sectional study was conducted on the mothers having adolescent girls. Data was collected by face to face interview with a semi structured questionnaire and analyzed with SPSS. The knowledge of mothers was assessed by Likert scale.Place of study: The study was conducted at 5 schools of Dhaka city on 118 respondents over a period of four months.Results: It was revealed from the findings that among 118 mothers the mean age of respondents were 40.71 years with standard deviation ± 3.707 years. Majority (70%) of respondents were undergraduate qualified and rest were post graduats. Among the respondents, 64% of mothers did not want to provide information on reproductive health to their daughters. Seventy two percent of the respondents had average knowledge about puberty. Among the respondents, 47% had average knowledge regarding adolescent reproductive health problems and 77% of respondents had average knowledge about safe motherhood. Regarding the complication of unsafe abortion, 73% had average knowledge and 70% had average knowledge about consequence of early pregnancy. Fifty seven percent of the respondents had good knowledge about Sexually Transmitted Diseases. Sixty one percent of the respondents had good knowledge regarding the high risk behaviour of the adolescents. Significant statistical association was found between knowledge and education, knowledge and occupation, and knowledge and source of information of reproductive health (p<0.05).Conclusion: The study findings may be helpful for baseline information and would be beneficial to the policymakers and programme planners to sophisticate further strategy to increase mothers' knowledge about the reproductive health needs of their adolescent girls.Key words: Knowledge; adolescent; reproductive health needs DOI: 10.3329/jafmc.v6i2.7266JAFMC Bangladesh. Vol 6, No 2 (December) 2010 pp.9-12


2001 ◽  
Author(s):  

To assess the effectiveness of youth centers in reaching adolescents with reproductive health information, life skills, and services, the Reproductive Health Research Unit in KwaZulu Natal and the Population Council conducted an assessment of 12 youth centers and their affiliated peer education programs. The centers were run by the KwaZulu Natal Department of Health, the loveLife program, and the Youth and Adolescent Reproductive Health Program. Researchers also examined young people’s use of condoms as protection against pregnancy and HIV/AIDS. Data sources for this study, conducted in 2000, were an inventory of youth center services, interviews with center staff and clients, service statistics, and community surveys of 1,399 young people aged 12–24 and their parents. As noted in this brief, the study found that many sexually active young people in South Africa are knowledgeable about the sexual transmission of HIV/AIDS but do not use condoms consistently. Service providers can do more to promote condom use among youth by placing condom dispensers in private places and counseling youth on correct condom use and safer sexual practices.


2017 ◽  
pp. 85-99
Author(s):  
Nguyen Dieu Trang Dao ◽  
Thi Bich Ngoc Phan ◽  
Vu Quoc Huy Nguyen

Objectives: To describe the knowledge, attitudes, practices of reproductive health care among adolescent girls in A Luoi district, Thua Thien Hue province and identify the related factors to reproductive health care in adolescent girls. Methods: A cross-sectional study design was conducted in A Luoi district, Thua Thien Hue province. All 960 adolescent girls between 10 – 19 years old of 8 communes in A Luoi district participated in the study. Results: - The percentage of adolescents with not good knowledge, attitudes and practices on reproductive health care has accounted for fairly high as respectively: 85.9%, 73.9%, 68.4%. - The percentage of adolescents who have had sexual relative were 6.4%, in which 18% has used contraceptive methods. - The percentage of adolescents who get married early were 50% among adolescents who get married, the percentage of consanguineous marriage were 15.4%. - The percentage of pregnant adolescents were 4.9%. The proportion of adolescents with abortion were 0.1% - The percentage of lower genital tract infections in adolescents was 2.2%. - There is an a relationship between education level, adolescent stage with general knowledge on adolescent reproductive health care (p <0.05). - There is a relationship between ethnicity, education level, adolescent stage with the general attitude on adolescent reproductive health care (p <0.05). - There is a relationship between ethnicity, education level, adolescent stage, economic conditions, the condition of the family living at the percentage of general practice on adolescent reproductive health care (p <0.05) Conclusion: The knowledge, attitudes, practices of reproductive health care among adolescent girls are not good. There is an a relationship between education level, adolescent stage with general knowledge, general attitude and general practice on adolescent reproductive health care(p <0.05)There is need to enhance the communication and education reproductive health for aldolescent girls and enhance communication knowlegde and skills for reproductive health staff. Key words: adolescents, get married early, reproductive health


2014 ◽  
Vol 8 (8) ◽  
pp. 411
Author(s):  
Niken Meilani ◽  
Zahroh Shaluhiyah ◽  
Antono Suryoputro

Akumulasi kasus HIV/AIDS di Provinsi Jawa Tengah, tahun 1993 - 2008 adalah pada usia 20 - 24 tahun sekitar 12,54% dan usia 25 - 29 tahun sekitar 37,31% merupakan kategori remaja dan dewasa muda. Di Kabupaten Magelang kasus HIV positif pada remaja mulai muncul tahun 2008 dan selalu muncul pada tahun berikutnya. Remaja sangat membutuhkan informasi tentang seksualitas dan peran ibu sangat penting. Tujuan penelitian ini adalah untuk mengetahui determinan perilaku ibu yang meliputi umur, pekerjaan, pendidikan, pengetahuan kesehatan reproduksi remaja, persepsi kemampuan diri dan sikap dalam pendidikan seksualitas. Jenis penelitian adalah survei dengan pendekatan potong lintang. Populasi terjangkau adalah ibu yang mempunyai anak remaja berusia 10 - 14 tahun dan mengikuti program Bina Keluarga Remaja percontohan di Kabupaten Magelang. Pemilihan sampel menggunakan klaster sampling dan berjumlah 92 orang. Pengumpulan data menggunakan kuesioner. Analisis bivariat menggunakan uji kai kuadrat dan analisis mulitivariat menggunakan regresi logistik. Hasil penelitian menunjukkan mayoritas ibu belum memberikan pendidikan seksualitas dengan baik. Variabel yang berhubungan adalah pendidikan ibu, pengetahuan ibu tentang kesehatan reproduksi remaja, persepsi kemampuan diri ibu dan sikap ibu. Persepsi kemampuan diri ibu merupakan variabel yang paling berpengaruh terhadap perilaku ibu dalam memberikan pendidikan seksualitas.Accumulation of HIV/ AIDS cases in Central Java province in 1993 - 2008 is at the age of 20 - 24 years at 12.54% and aged 25 - 29 years at 37.31% is the category of adolescent and young adults. In Magelang district HIV positive cases in adolescents began to emerge in 2008 and always appeared the following year. Adolescent need information about sexuality and the role of the mother is very important. This study aims to determine the determinant factors of mother (age, employment status, level of education, level of knowledge about adolescent reproductive health, self-perception and attitude) in providing sexuality education. This study was surveyed with cross sectional model. The population is mothers of adolescents aged 10 - 14 years and as member of Bina Keluarga Remaja program pilot in Magelang. The selection of samples using cluster sampling and numbered 92 people. Collecting data using a questionnaire. Bivariate analysis used chi squared test and multivariate used logistic regression. The results showed the majority of mother have not provided good sexuality education. There were relations between mother’s education level, mother’s level of knowledge about adolescent reproductive health, mother’s perception and mother’s attitudes with mother’s behavior in providing sexuality education. Mother’s perception is the most influential variable on mother’s behavior in providing sexuality education. 


2018 ◽  
Vol 18 (1) ◽  
pp. 83-90
Author(s):  
Hastuti Marlina ◽  
Nizwardi Jalinus ◽  
Rusnadi Rahmat

The problem of teenagers in that world associated with early health, early circulation, difficult cancer, HIV / AIDS and increased STIs. The writing of this article is to know and examine the efforts and programs that have been conducted by various countries in providing information on issues relating to the three issues of adolescent reproductive health (Sexuality, HIV / AIDS and Drugs). The method used in the journal using EBSCO, Proquest, Sciencedirect, google scholar published from 2002 to 2018. The result of the literature review is the knowledge of sexual health education portrait for which has been done by various countries namely: Integration of Sexual Education in all strata of education, Counseling Sexual Education by Specialist Doctors, School-based Counseling is accompanied by Parents. The correlation of sex education in schools by teachers wants to apply in the home associated with parents despite the need for regular consultation to specialist doctors such as doctors, pediatricians and doctors of venereal diseases. Sex education on reproductive health has been done in various countries proven to reduce the three problems of adolescent reproductive health  Keywords: Education, Sex, Teenagers


2020 ◽  
Vol 3 (1) ◽  
pp. 13
Author(s):  
Skunda Diliarosta Skunda Diliarosta,

The purpose of this community service is to educate students in SMKN 3 Payakumbuh How to recognize and maintain reproductive health to avoid free sex, LGBT and HIV/AIDS. The education is well packed and interesting using animated films, discussing and solving problems as well as finding joint solution through a focus group discussion (FGD). This method is done so that students can easily understand about reproductive health and can find out the consequences of free and LGBT associations and HIV/AIDS disease. For initial analysis, this activity using Kahoot application with 75 questions. This activity is done with 5 stages, which is initiated by looking at the knowledge of students, introduce the reproduction tool, Issues of LGBT and Free Sex. Recognizing HIV/AID disease and sufferer data in West Sumatera. Then conducted group discussions with problem tree methods, Focused Group discussion (FGD), discussion of plenary and briefing from the resource person related to knowledge and action of reproductive health, free sex and LGBT. This activity has change attitude of SMKN3 PAYAKUMBUH students with a determination to reject the association/sex free and LGBT through the jargon "Say No to LGBT and Free Sex", in addition to the students are able to fortify themselves from behavior, LGBT and HIV/AIDS. Because adolescent are the next generation of the nation who will fill the richness of Indonesia in the Indonesian Gold ERA in 2045, they are the hope of the nation, the sunlight that will give color to the future of the nation. It is therefore an obligation of all parties to keep them from deviant behavior.


2019 ◽  
Vol 3 (2) ◽  
pp. 168-172
Author(s):  
Hastuti Marlina ◽  
Yeyen Gumayesty ◽  
Yeyen Gumayesty ◽  
Raviola

Abstract   Three main problems of adolescents in the field of reproductive health or known as the Adolescent Reproductive Health Triad are sexuality, drugs, HIV / AIDS increased, it has an impact on the quality of adolescent reproductive health as the next generation of the nation. Various research results on this matter are known that all individuals, especially adolescents are at risk of experiencing the Adolescent Reproductive Health triad because of the influence of friendship. To overcome this problem, collaboration between health institutions and schools is needed, in this case 2 Siak Hulu High School. The community service activities went smoothly and succeeded in improving the cognitive, affective and psychomotor aspects of the participants. In the affective aspect, it also increased from before getting mentoring on TRIAD KRR with an average of 41 and increased after participating in mentoring with an average of 75.5. In the psychomotor aspect, which was considered more on the Agent Genre aspect in the skills to spread information about the TRIAD KRR to peers with a mean difference before and after mentoring of 33.4, meaning participants were more skilled at educating peers after getting mentoring.   Key words: Peer Group, Genre Agent, TRIAD KRR   Abstrak   Tiga masalah utama remaja dalam bidang kesehatan reproduksi atau dikenal dengan Triad KRR yaitu seksualitas, napza, HIV/AIDS meningkat, hal tersebut berdampak terhadap kualitas kesehatan reproduksi remaja sebagai generasi penerus bangsa. Hasil penelitian mengenai hal tersebut diketahui bahwa semua individu khususnya usia remaja berisiko mengalami triad KRR karena pengaruh pertemanan. Untuk mengatasi masalah tersebut diperlukan kerjasama antara institusi kesehatan dengan pihak sekolah, dalam hal ini SMA 2 Siak Hulu. Kegiatan pengabdian ini berjalan dengan lancar dan berhasil meningkatkan aspek kognitif , afektif dan psikomotor peserta.  Pada aspek kognitif nilai rata-rata pretest 43,5 dan meningkat setelah pendampingan dengan nilai rata-rata post tes 78. Pada aspek afektif ikut meningkat dari sebelum mendapatkan pendampingan mengenai TRIAD KRR dengan rata-rata 41 dan meningkat setelah mengikuti pendampingan dengan rata-rata 75,5.  Pada aspek psikomotor yang dinilai lebih kepada aspek Agent Genre dalam keterampilan menyebarkan informasi mengenai TRIAD KRR kepada teman sebaya dengan selisih rerata sebelum dan setelah pendampingan sebesar 33,4, artinya peserta lebih terampil melakukan edukasi terhadap sebaya setelah mendapatkan pendampinganah   Kata Kunci: Peer Group, Agen Genre, TRIAD KRR


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